Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ted, it is given the necessary treatment. Diphtheria (Klebs-Loffler membranous pharyngitis) is quite as mucha surgical disease as erysipelas, hospital gangrene, or suppurative treatment should best be carried out by the laryngologist. It will befound best described in works on internal medicine. The pediatrists havethe most experience in its treatment. Briefly: The strength of the patientshould be conserved. Diphtheria antitoxin should be injected
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ted, it is given the necessary treatment. Diphtheria (Klebs-Loffler membranous pharyngitis) is quite as mucha surgical disease as erysipelas, hospital gangrene, or suppurative treatment should best be carried out by the laryngologist. It will befound best described in works on internal medicine. The pediatrists havethe most experience in its treatment. Briefly: The strength of the patientshould be conserved. Diphtheria antitoxin should be injected as soon as thediagnosis is made. The curative dose is iooo antitoxic units. The earlierthe injection, the better the results. Persons who have been exposed shouldbe immunized with an injection of 500 units. The patient should be isolated. If the symptoms grow worse the antitoxin should be injected every sixhours, increasing the dose 1000 units at each injection. If begun early oneor two doses suffice. Usually three doses are enough. Laryngologic skillis required in the local examinations and applications, to inflict the least. Fig. 871.—Cutting Forceps for Removing Growths from the Nasopharynx. strain upon the patient. If a weak solution of iodin does not keep the throatclean, peroxid of hydrogen may be used. When the false membrane reachesthe upper part of the pharynx or nose the parts should be sprayed every hourwith equal parts of hydrogen peroxid, cinnamon water, and watery extract ofwitch hazel. Loose pieces of membrane should be removed with forceps orswab. Progressive asphyxia, as shown by dyspnea, stridor, cyanosis, andretrocession of the soft parts of the chest wall during inspiration, calls forintubation or tracheotomy (pages 226 and 237). Tuberculosis of the pharynx should be treated the same as tuberculosiselsewhere. The constitutional treatment is most important. Pain may berelieved temporarily by cocain or orthoform locally. Dilute nitric acid in anequal amount
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
